Laya'S Main Street Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

5282801 Issued in WY

Legal business name

LAYA'S MAIN STREET PHARMACY

Practice address

555 N Main St
Sheridan, WY 82801-3630

Phone

(307) 672-3741

Fax

(307) 674-0563

NPI assigned

Jan 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan Hooker, RPH

Title

Owner

Phone

(307) 672-3741

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Laya'S Main Street Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laya'S Main Street Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Sheridan, WY
  • NPI 1285835553
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Blank, RPH

  • Pharmacist
  • Sheridan, WY
  • NPI 1538203229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356320584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013630",
            "telephone_number": "307-672-3741",
            "fax_number": "307-674-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013630",
            "telephone_number": "307-672-3741",
            "fax_number": "307-674-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYA'S MAIN STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-672-3741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "5282801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000211003",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivy Ann Larson, CFA
• Christina Michelle Lawson, PHARMD
• Doreen McCullough Lawson, LPC-P
• Thomas C Laya, AUDIOLOGIST
• Laya'S Main Street Pharmacy
• Linda Joy Layher, PT
• William T Leach, DC
• James Luke Leary, MD
• Ronald Paul Leblanc, PHARM.D.
• Deanne Lederer, LPC

• Pharmacy in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.